Most Relevant Information
Provider Data
| NPI Number: | 1003286709 |
| Provider Name: | SHANE TRAVIS KISER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA2034 |
Most Important Dates
| Enumeration Date: | 10/07/2015 |
| Last Updated: | 07/31/2019 |
Provider Practice Location
245 FLEMINGSBURG RD
MOREHEAD
KY
403511015
Practice Location Phone/Fax
| Phone: | 6067805500 |
| Fax: | 6067837281 |
Provider Mailing Location
245 FLEMINGSBURG RD
MOREHEAD
KY
403511015
Provider Mailing Phone/Fax
| Phone: | 6067805500 |
| Fax: | 6067837281 |